Vermont Gastroenterology | |
875 Roosevelt Hwy Suite 132 Colchester VT 05446-4460 | |
(802) 864-7483 | |
(802) 660-4337 |
Full Name | Vermont Gastroenterology |
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Speciality | Internal Medicine |
Location | 875 Roosevelt Hwy, Colchester, Vermont |
Authorized Official Name and Position | Alex John (PRESIDENT) |
Authorized Official Contact | 8028647483 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vermont Gastroenterology 875 Roosevelt Hwy Suite 132 Colchester VT 05446-4460 Ph: (802) 864-7483 | Vermont Gastroenterology 875 Roosevelt Hwy Suite 132 Colchester VT 05446-4460 Ph: (802) 864-7483 |
NPI Number | 1346496783 |
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Provider Enumeration Date | 08/18/2008 |
Last Update Date | 08/20/2024 |
Medicare PECOS PAC ID | 9931259967 |
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Medicare Enrollment ID | O20090611000707 |
Identifier | Type | State | Issuer |
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1346496783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Alex John |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588634182 PECOS PAC ID: 0042210403 Enrollment ID: I20070109000110 |
Provider Name | Cory S Halliburton |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1083767685 PECOS PAC ID: 7416045877 Enrollment ID: I20071119000216 |
Provider Name | David N Schwartz |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1588649743 PECOS PAC ID: 8628010816 Enrollment ID: I20140507001497 |
Provider Name | Kim N Dacek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801208418 PECOS PAC ID: 0547584294 Enrollment ID: I20150128001889 |
Provider Name | Alan Eric Landau |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1003876368 PECOS PAC ID: 0345252953 Enrollment ID: I20190709002983 |
Provider Name | Jacek Mysior |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1811206246 PECOS PAC ID: 1456626282 Enrollment ID: I20220117000477 |
Provider Name | Fady Asslo |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1659653723 PECOS PAC ID: 6002100666 Enrollment ID: I20240413000039 |
Vermont Information Processing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Watertower Cir Ste 201, Colchester, VT 05446 Phone: 802-698-8583 | |
Hobie Fuerstman Do Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Roosevelt Hwy Ste 210, Colchester, VT 05446 Phone: 802-879-6544 | |
Ethan Allen Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Vermont Ave, Colchester, VT 05446 Phone: 802-655-1122 Fax: 802-655-1124 | |
Carol J. Gardner, Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Roosevelt Hwy, Suite 210, Colchester, VT 05446 Phone: 802-879-6544 Fax: 802-879-0022 | |
Ronald B. Miller, Phd, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Ethan Allen Ave, Colchester, VT 05446 Phone: 802-654-7075 |